Individual
ALINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17410 NW 8TH ST, PEMBROKE PINES, FL 33029-3107
(786) 740-0212
Mailing address
17410 NW 8TH ST, PEMBROKE PINES, FL 33029-3107
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-380009
FL
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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